When medication is indicated, NICE recommends : Methylphenidate (e.g., Ritalin, Concerta XL) or lisdexamfetamine (Elvanse) as first-line pharmacological treatments Atomoxetine (Strattera) a non-stimulant selective noradrenaline reuptake inhibitor when stimulants are not suitable or have been ineffective Guanfacine (Intuniv) a non-stimulant alpha-2 adrenergic agonist licensed for children and young people aged 6-17 years (not licensed for adults in the UK) These medications have undergone rigorous clinical trials demonstrating efficacy and safety in ADHD populations, with well-established monitoring protocols to manage potential adverse effects
doi: 10.3171/2022.9.JNS221565 296 Risby-JonesG.MarallagJ.JagarajC
Mishra J, Verma RK, Alpini G, Meng F, Kumar N
Also, patients should be warned about the danger of taking folic acid in place of vitamin B12, because the former may prevent anemia but allow progression of subacute combined degeneration of the spinal cord
This would broaden the rationale for the therapeutic use of GLP-1R agonism in ALD beyond individuals who have successfully reduced their ethanol intake
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